Individual
BREANNA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
10530 19TH AVE SE STE 201, EVERETT, WA 98208-4282
(425) 357-1790
(425) 357-1749
Mailing address
406 93RD DR SE, LAKE STEVENS, WA 98258-3773
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN60811891
WA
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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